Case and Plan:
63-year-old male with history of PAD and two failed vascular bypass in left lower extremity, now presents with non healing left toe ulcer. Other past medical history includes HTN, HLD, A-fib, heavy smoker, ischemic cardiomyopathy with EF 30%, CAD s/p multiple prior PCIs. Medications: asa 81 mg, Lipitor 80 mg, Losartan 25 mg, Toprol XL 50 mg BID, Amiodarone 200 mg daily, Torsemide 60 mg daily
Labs: Hgb/hct 13.7/41, Cr 1.0, LDL 44, INR 1
